Individual provider Active NPI

Tiffany Williams

  • Clinical Social Worker
  • Newark, DE
National Provider Identifier
1528521184
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0012149 Issued in DE
Practice address
260 Chapman Rd Ste 103
Newark, DE 19702-5410
Phone
(302) 273-3194
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0012149 DE Primary

Addresses

Primary practice location

260 Chapman Rd Ste 103
Newark, DE 19702-5410

Mailing address

7091 Alexandra Dr
Newark, DE 19702-8139
Phone (267) 975-7516

Other practice location 1

200 Continental Dr Ste 401
Newark, DE 19713-4337
Phone (267) 975-7516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0012149DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquility Wellness LLC Clinical Current Accepting new patients

Locations

630 Churchmans Rd
Ste 108
Newark, DE 19702

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1528521184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7091 ALEXANDRA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197028139",
            "telephone_number": "267-975-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 CHAPMAN RD STE 103",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025410",
            "telephone_number": "302-273-3194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Continental Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197134337",
            "country_code": "US",
            "telephone_number": "267-975-7516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.